Proportion and ceiling of social security payment

Legal analysis: 1. The maximum payment limit of the overall fund is the so-called "capping line", that is, the maximum amount of medical expenses paid by the overall fund to employees and retirees in an insurance year. Medical expenses exceeding the maximum payment limit shall not be paid by the overall fund. 2, social security medical reimbursement is proportional, up to 90%, and then set an upper limit, which is related to the cumulative payment time of medical insurance. The longer the cumulative payment time, the higher the upper limit, and there is a certain deductible-that is, no compensation.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 12 The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of employees stipulated by the state and record it in the basic old-age insurance pooling fund. Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.

Thirteenth employees of state-owned enterprises and institutions to participate in the basic old-age insurance, the basic old-age insurance premiums payable during the payment period shall be borne by the government. When the basic old-age insurance fund is insufficient to pay, the government gives subsidies.